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Weekly View


September 11, 2026

From the desk of Priya Ranade

Good morning, everyone.

ICER announced yesterday that we are working on a special report for the Centers for Medicare & Medicaid Services (CMS) on darolutamide (Nubeqa®, Bayer) for treatment of prostate cancer. This report will be submitted to CMS as part of the 2027 public comment process defined in CMS guidance on Medicare Drug Price Negotiations for price applicability year 2029. ICER developed similar reports in 2023, 2025, and 2026.We will publish this report in March 2027. 

 

ICER’s President and CEO Sarah K. Emond, MPP stated:

 

“ICER’s expertise in comparative clinical effectiveness and value will continue to help inform the important conversations around Medicare drug price negotiation. While we know CMS may consider many different factors and inputs during negotiations, we believe ICER’s approach to applying the guidance in a consistent framework offers important information to all stakeholders engaged in this process.”

Let's see what else happened this week...

 
Pharmaceutical News

MUST READS


A breakthrough pancreatic cancer drug won approval. They still struggle to access it

STAT

STAT’s Angus Chen covered how drug approvals can complicate access to new medications:

 

“Approvals, of course, generally improve access to drugs that previously were only available on limited programs or in clinical trials. But for patients who are in the process of getting expanded access — often called compassionate use — they can turn what is meant to be a straightforward process into a labyrinth.”

Ominous outlook for Medicare drug spending

Axios

According to Axios, there are troubling signs that the overhaul of Medicare drug coverage in the Inflation Reduction Act is dramatically driving up program spending. The upward trajectory could threaten some seniors' coverage for outpatient prescription drugs — and it could force painful tradeoffs over the next decade as Medicare consumes a growing share of the nation's debt.

Court Says Vertex Fertility Perk Would Violate Statute

Bloomberg Law

A US appeals court said the maker of a sickle cell gene therapy’s program to offer fertility preservation services to patients would violate a federal anti-kickback law.

 

The US Court of Appeals for the District of Columbia Circuit on Friday affirmed a lower court decision finding that a program by Vertex Pharmaceuticals Inc., maker of multimillion-dollar sickle cell gene therapy Casgevy, would violate the federal anti-kickback statute “if undertaken with the requisite scienter” by offering fertility preservation services to address concerns that its product’s fertility risks might deter patients from taking it.

Drug pricing policy ‘earthquake’ forcing rethink of global commercialization plans: survey

FiercePharma

Healthcare consultancy Numerof & Associates fielded a survey of 175 executives from 67 pharmaceutical companies. The qualitative survey revealed the belief that the current era of policy change is unlike anything that the industry has experienced before. After going through a period of fast change, the industry is braced for more upheaval in the coming years. 

Trump Administration Working on More Drug Pricing Deals, Oz Says

Bloomberg

The Trump administration is pursuing additional drug pricing deals with pharmaceutical companies, Centers for Medicare and Medicaid Services Administrator Mehmet Oz told Bloomberg Television.


Officials have announced more than two dozen voluntary agreements with pharmaceutical companies so far, and Oz said “there are more deals in the works.” He spoke ahead of his scheduled keynote address at the Republican midterm convention in Dallas Wednesday night.

OTHER HEADLINES

 
 

Key Upcoming Dates

 
  • 9/16: Parkinson's Disease — Evidence Report
  • 10/1: Hypertension — Evidence Report
  • 10/15: Friedrich's Ataxia — Draft Evidence Report

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